…of acute nursing, discharge planning and HMO, previous case management experience, utilization review , and knowledge of medical/nursing standards of care

…provided by the Hospitalists, quality improvement, education of staff, medical and utilization review and feedback, and support for throughput strategies.

…productivity, and revenue projections for assigned areas are met. Oversees utilization review for Medicare's Patient-Driven Payment Model (PDPM), Managed

…in patient, student and staff teaching programs; participating in drug utilization review activities; performing clinical pharmacy services as needed;

…of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident

…current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval.* Participates

…functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries,

…structure, including patient assignment, risk and specialty network structures, and utilization management. Functions as key resource for staff and physicians in

…Registered Nurse License. Skills/Knowledge: + Demonstrates a proficient understanding and utilization of Microsoft Office Suite and other software packages for use

…diagnosis of patient disorders. Prioritizes and organizes patient flow to ensure best utilization of time. Is given general guidance and is expected to function with